Individual
CASEY FASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 OFFICE COURT DRIVER STE 102, SANTA FE, NM 87507-4903
(505) 395-9437
(505) 930-5427
Mailing address
29 MELISSA RD, KINGSTON, NY 12401-7437
(518) 636-9900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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